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Pennsylvania rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $38.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $30.60 / $30.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.60 / $30.60 / $38.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.80 / $30.60 / $30.60